Dwayne LaFrantz Wilson
Controlled Substance Registration - Physician
Indiana 01062905B Suspended
This Indiana license was held by Dwayne LaFrantz Wilson. The license is no longer active. It was granted on 03/16/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01062905B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 03/16/2007 (about 18 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421